Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.55 / $141.55 / $141.55	Facility		$141.55	$141.55	$141.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $141.55 / $177.18	Professional		$141.55	$141.55	$177.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.37 / $754.20 / $1,519.48	Facility		$426.37	$754.20	$1,519.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $192.00 / $265.95	Professional		$151.38	$192.00	$265.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.10 / $1,251.76 / $2,020.54	Facility		$635.10	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $240.00 / $414.55	Professional		$180.34	$240.00	$414.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $250.00 / $601.28	Facility		$146.75	$250.00	$601.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $142.97 / $196.89	Professional		$41.02	$142.97	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $244.05 / $364.82	Professional		$184.33	$244.05	$364.82